" scale is currently used to determine the level of sedation in patients undergoing mechanical ventilation. This scale has advantages and disadvantages. The present study aims to investigate the correlation between the scores obtained from Ramsay "Sedation Level" Scale and Richmond "Agitation-Sedation" Scale and physiological parameters to determine the need for sedation in patients undergoing mechanical ventilation. This study was conducted on 100 patients undergoing mechanical ventilation using purposive sampling. Data were analyzed using Pearson correlation coefficient, regression analyses and descriptive statistics. There was a significant positive correlation between the scores of Richmond "scale" and physiological parameters (respiration, heart rate and blood pressure). There was a significant negative relationship between the scores of Ramsay "scale" and two physiological parameters, i.e. respiration rate and blood pressure. There was an intense and inverse correlation between Ramsay and Richmond scales (r=0.907) (p<0.001). Considering the high correlation between Richmond scale and components of physiological parameters compared to Ramsay scale, this instrument is an appropriate scale to measure the level of sedation in patients undergoing mechanical ventilation in the intensive care unit (ICU).
Introduction: Medical records contain valuable information about a patient's medical history and treatment. Patient safety is one of the most important dimensions of health care quality assurance and performance improvement. Completing the process of documentation is necessary to continue patient care and continuous quality improvement of basic services. The aim of the present study was to evaluate the effect of medical recording education on the quantity and quality of recording in gynecology residents of Tabriz University of Medical Sciences. Methods: This study is a quasi-experimental study and was conducted at Al-Zahra Teaching Hospital, Tabriz, Iran, in 2016. Thirty-two second through fourth year gynecologic residents of Tabriz University of Medical Sciences who were willing to participate in the study were included by census sampling and participated in training workshop. Three evaluators reviewed the residents’ records before and after training course by a checklist. Statistical analyses were performed using SPSS 13 software. P-values less than 0.05 were considered statistically significant. Results: The results showed that before the intervention, there were significant differences in the quantity of information status among the evaluators and no significant difference was observed in the recording of qualitative status. After the workshop, among the 3 evaluators, there were also significant differences in the quantity of data recording status; however, no significant change was observed in recording of qualitative status. Conclusion: The study findings revealed that a sectional training course of correct and standardized medical records has no effect on reforming the process of recording.
The teacher-centered learning methods provide fewer opportunities compared to student-centered methods. This study aims to determine the impact of the portfolio method on self-directed learning.This semi-empirical study conducted on 48 nursing students in medical-surgical ward. The sample was selected using census sampling method and classified into intervention and control groups. Data were collected using self-directed learning (SDL). Statistical analysis was performed using t-test, ANOVA, Kruskal-Wallis test, Chi-square and Pearson correlation coefficient with the help of SPSS-18.The intra-group comparison and total scores indicated the conventional teaching and portfolio methods increased the scores of self-control and self-management in both intervention and control groups. The intergroup comparison showed the same outcomes. So no statistically significant differences were observed. The total scores of self-directed learning showed the conventional teaching and portfolio methods will increase nursing students' self-directed learning (P=0.001 and P=0.003 for intervention and control groups, respectively). However, self-directed learning in intervention group showed a significant increase compared to the control group (P=0.006). It can be inferred that the conventional method has been able to strengthen self-direction in nursing students in the field internship and the homework assignments in the form of a portfolio will increase its impact on self-direction.
Background: Communication skills of nurses include two important verbal and non-verbal communication dimensions and have of great importance in hemodialysis patients. This study aimed to investigate the effect of nursing communication skills training on satisfaction of patients undergoing hemodialysis. Methods: This quasi-experimental (pretest and posttest design) was carried out on 64 nurses working in the dialysis ward and 90 hemodialysis patients in the hospitals affiliated with Alborz University of Medical Sciences. In this study, nurses and patients were selected by convenience and randomized sampling methods, respectively. In this regard, subjects were selected from the hemodialysis wards of Bahonar, Rajaei and Shariati hospitals in Karaj. Results: Most nurses were female (76.7%) and the age range of the participants was 23-54 years. Nurses achieved a high score in all dimensions of communication skills and a high total score of communication skills after the intervention, and none of them obtained a low score. There was a significant increase in nurses' communication skills after the intervention, compared to before the intervention (106.98±4.18 and 117.97±3.35) (P<0.001). Moreover, the results showed a significant change in nurses’ perception after the intervention in various dimensions of communication skills, such as ability to receive and send messages, emotional control, listening skills, nurses' insight into the communication process and assertive communication skills, compared to before the intervention (66.90±5.15 and 95.62±5.34) (P<0.001). Conclusion: Studying communication skills in the form of educational workshops could increase these skills in nurses and clinical personnel in general. More importantly, improved communication skills in nurses could increase patient satisfaction, which is the ultimate goal of healthcare centers.
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